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1932645694
KHURI BLACK
FORT MYERS, FL
NPI
1932645694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-01-18
Last Update Date
2017-01-18
Business Address
-- KHURI BLACK
10501 FGCU BLVD S
FORT MYERS, FL 33965-6502
Phone number: 561-568-1091
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Mailing Address
-- KHURI BLACK
17586 38TH RD N
LOXAHATCHEE, FL 33470-5414
Phone number: 561-568-1091
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